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What is the nurses responsibility after administering medications?
assess effectiveness & recognition of unfavorable reactions
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First law against drugs
Pure Food and Drug Act of 1906
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Law that stated drugs had to be free of impure products
Pure Food and Drug Act of 1906
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Protected citizens from altered drugs and drugs that contained harmful ingredients not listed on the label
Pure Food and Drug Act of 1906
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Drugs had to be free of adultrents
Food, drug, and cosmetic Act of 1938
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Food, drug, and cosmetic act of 1938 was a result of ___________.
Sulfanilamide (antibacterial) mixed with Diatholin Glycol (antifreeze)
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Added the requirement that a drug must be proven safe before it can be marketed
Food, Drug, and Cosmetic Act
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First law to regulate the safety of a drug and gave FDA the authority to approve drugs
Food, Drug, and Cosmetic Act of 1938
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What must be on the label of drugs?
- -Official name of drug
- Name/address of manufacturer, packager, or ditributor
- -Directions of use
- -Recommended dosage/frequency
- -Warning "this may be habit forming"
- -New drug warning "Caution, investigational use"
- -Must be true
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What act distinguished between prescription and non prescription drugs?
Durham-Humphrey Amendment of 1952
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Another term for prescription drugs is _________.
Legend
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1954 Polio Vaccine was the __________ vaccine.
Salk
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All drugs had to be safe and effective before marketed
Kefauver-Harris Admendment of 1962
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Kefauver-Harris Admendment stated that drugs after _______ had to be tested.
1932
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Act that established testing procedures for new drugs
Kefauver-Harris Admendment of 1962
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Mothers who took medication for depression
Thalidomine-1960-Europe
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Classifid potential and medical usefulness with the use of schedules
Controlled Substance Act of 1970
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Drugs that might have a high potential for abuse and no approved medical use
Schedule 1
-
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High potential for abuse, but have excepted medical use, severe dependence (no refill)
Schedule 2
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Ex of Schedule 2 drugs
- amphetamine
- codine
- opium
- morphine
- ritalin
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Medically accepted drugs that cause mild physical or psycologic dependence
Schedule 4
-
Examples of Schedule 4 drugs
- phenobarbital
- diazapen
- valium
- zantacs
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Medically accepted drugs with very limited potential for mild physical/psychologic dependence
Schedule 5
-
Ex of Schedule 5 drugs
- Robitussin AC
- OTC cough syrups with codeine
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How can schedule 3 drugs be refilled?
written or telephone
-
Medically accepted drugs that may cause dependence (moderate to low physical, High psychological)
Schedule 3
-
Examples of schedule 3 drugs
- anabolic steroids
- Tylenol with codeine
- loratab
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How can schedule 4 meds be refilled?
Telephone Rx
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Schedule 5 can be dispensed by _________ without prescription.
pharmacist
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Oral orders for meds must be signed when?
within 72hrs
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All Schedules must carry label that says....
Federal law prohibits dispensing to any person other than prescribed
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Who signs out and checks narcotics?
2 nurses
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Nurse's responsibility for narcotics
- Must count controlled substances at beginning of shift with nurse going off shift
- double locked cabinet
- sign drug out in log book
- account for wasted portion of doses
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